Safety and Effectiveness of Monovisc® Injection for Osteoarthritis of the Knee

NCT ID: NCT00653432

Last Updated: 2023-07-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

369 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2010-02-28

Brief Summary

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The purpose of this study is to determine whether intra-articular injection of Monovisc® hyaluronic acid provides symptomatic relief of osteoarthritis of the knee.

Detailed Description

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This randomized, double-blind, placebo controlled prospective study will assess the safety and effectiveness of a single intra-articular injection of Monovisc® in providing symptomatic relief of pain caused by idiopathic osteoarthritis (OA) of the knee as compared to a placebo comparator injection of sterile saline.

Conditions

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Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Monovisc®

Injectable Hyaluronic Acid Gel

Group Type EXPERIMENTAL

Monovisc®

Intervention Type DEVICE

Intra-articular injection

Saline

0.9% Sterile Saline

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type OTHER

0.9% Sterile Saline

Interventions

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Monovisc®

Intra-articular injection

Intervention Type DEVICE

Saline

0.9% Sterile Saline

Intervention Type OTHER

Other Intervention Names

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Sodium Hyaluronate Hyaluronic Acid Gel

Eligibility Criteria

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Inclusion Criteria

* Male or Female
* Age 35 to 75 years
* Body Mass Index (BMI) 20 to 40 kg/m2
* Willing and able to provide informed consent
* Willing to limit analgesic use to acetaminophen 7 days prior to and 12 weeks after injection
* Not pregnant or lactating
* Previous conservative treatment regimen for osteoarthritis (OA)
* Diagnosis of idiopathic OA of the index knee
* OA symptoms for \>= 6 months
* Index knee Kellgren-Lawrence (K-L) grade of II or III
* Index knee Baseline Summed WOMAC Pain Score \>= 200mm and \< 400mm after NSAID washout
* Contralateral Knee K-L grade 0, I or II
* Contralateral Knee Baseline WOMAC Pain Score \< 150mm after NSAID washout

Exclusion Criteria

* Joint disorders which could interfere with treatment effectiveness
* Joint disorders which could interfere with study assessments
* Arthroscopy of either knee within 3 months of screening
* Open surgery of index knee within 12 months of screening
* Open surgery of contralateral knee within 3 months of screening
* Injection of Hyaluronic Acid (HA) in either knee within 6 months of screening
* Injection of steroid in index knee within 3 months of screening
* Any pre-treatment contraindication for injection or aspiration of the index knee, including cutaneous infection, intra-articular infection, knee deformity or condition which may jeopardize sterility or delivery of injection
* Synovial fluid aspirate volume \> 20 milliliters (mL)
* Visual appearance of synovial fluid that contraindicates injection
* Index knee range of motion \< 90 degrees
* Subject participation in other research study within 30 days of screening
* Subject unwilling to maintain active lifestyle, exercise program and body weight similar to that during 3 months prior to screening for duration of study
* Unwilling to maintain constant dosage of oral glucosamine or chondroitin sulfate for duration of study, if applicable
* Other medication or treatments that could interfere with study injection or assessments
* Allergy to gram positive bacterial products or intolerance of acetaminophen
* Active fibromyalgia
* Peripheral neuropathy severe enough to interfere with evaluation of either knee
* Vascular insufficiency severe enough to interfere with evaluation of the subject
* Hemiparesis involving either lower extremity
* Systemic bleeding disorder
* Other conditions which may adversely affect the success of the procedure
Minimum Eligible Age

35 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Anika Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephen Schmitz, MD

Role: STUDY_DIRECTOR

Prometrika, LLC

Locations

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Clinical Research Consultants

Hoover, Alabama, United States

Site Status

Novara Clinical Research

Mesa, Arizona, United States

Site Status

Arizona Research Center

Phoenix, Arizona, United States

Site Status

Tuscon Orthopaedic Institute

Tucson, Arizona, United States

Site Status

Providence Clinical Research

Burbank, California, United States

Site Status

San Diego Arthritis Medical Clinic

San Diego, California, United States

Site Status

Summit Clinical Research

Aurora, Colorado, United States

Site Status

Boulder Medical Center

Boulder, Colorado, United States

Site Status

Colorado Orthopedic Consultants

Englewood, Colorado, United States

Site Status

Plancher Orthopaedic and Sports Medicine

Cos Cob, Connecticut, United States

Site Status

Community Research Foundation

Miami, Florida, United States

Site Status

Tampa Medical Clinic

Tampa, Florida, United States

Site Status

Resurgens Orthopedics

Cumming, Georgia, United States

Site Status

Intermountain Research Center

Boise, Idaho, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Illinois Bone & Joint Institute

Morton Grove, Illinois, United States

Site Status

Wellborn Clinic

Evansville, Indiana, United States

Site Status

David Neustadt PSC

Louisville, Kentucky, United States

Site Status

Center for Rheumatology and Bone Research

Wheaton, Maryland, United States

Site Status

Great Lakes Research Group

Bay City, Michigan, United States

Site Status

Western Montana Clinic

Missoula, Montana, United States

Site Status

Physician Research Collaboration

Lincoln, Nebraska, United States

Site Status

Arthritis Center of Reno

Reno, Nevada, United States

Site Status

Arthritis, Rheumatic & Back Disease Associates

Voorhees Township, New Jersey, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Brian Gunnlaugson, MD

Johnstown, Pennsylvania, United States

Site Status

The Arthritis Group

Philadelphia, Pennsylvania, United States

Site Status

Clinical Research Center of Reading

West Reading, Pennsylvania, United States

Site Status

SCRI

Germantown, Tennessee, United States

Site Status

Valley Orthopedic Clinic

Harlingen, Texas, United States

Site Status

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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Monovisc-0702

Identifier Type: -

Identifier Source: org_study_id

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